Preface Contributors Chapter 1. Transcranial Magnetic Stimulation Therapy for Treatment-Resistant Depression Chapter 2. Clinical Applications and Patient Selection: Who Should Be Referred for Transcranial Magnetic Stimulation Therapy? Chapter 3. Risk Management Issues in Transcranial Magnetic Stimulation for Treatment of Major Depression Chapter 4. Combining Pharmacotherapy With Transcranial Magnetic Stimulation in the Treatment of Major Depression Chapter 5. Transcranial Magnetic Stimulation and Psychotherapy Chapter 6. Managing Patients After Transcranial Magnetic Stimulation: How to Best Maintain Response and Remission Chapter 7. Transcranial Magnetic Stimulation and Other Neuromodulation Therapies Chapter 8. Transcranial Magnetic Stimulation for the Treatment of Other Mood Disorders Chapter 9. Transcranial Magnetic Stimulation for Disorders Other Than Depression Chapter 10. Current FDA-Cleared TMS Systems and Future Innovations in TMS TherapyAppendix: Transcranial Magnetic Stimulation Training Courses Index
Edited by clinicians who were involved with transcranial magnetic stimulation (TMS) from the beginning, Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice offers everything the mental health practitioner needs to know about this innovative and well-established treatment. It is increasingly clear that different combinations of biological, neurobehavioral, and symptomatic factors contribute to the problem of "treatment resistance" in psychiatric disorders. Fortunately, a number of neuromodulation approaches, including TMS, are providing more options for clinicians to combat psychiatric problems. However, guidance about how to identify patients who are good candidates for TMS and how to comanage them during treatment is scarce because instruction on this modality has yet to be integrated into most psychiatry residencies. Thus, this text fills a great need, providing clinicians with an evidence-based foundation for the efficacy and safety of TMS.
Despite the rapid growth of this innovative option, many practitioners are unclear about how best to utilize TMS. The book addresses these clinical concerns systematically and thoroughly:
Clinical vignettes illustrate how to identify appropriate patients for referral to a TMS clinician. Discussions of treatment resistance, psychiatric and medical comorbidities, and preparation of the patient for TMS are included. Because TMS is likely to be used concurrently with other treatments, the book explains how to best integrate this modality with psychotherapy, pharmacotherapy, and other forms of neuromodulation to improve outcomes. In-depth coverage is provided on how to coordinate efforts between the primary treatment and TMS teams to assure the best outcomes during acute, continuation, and maintenance treatment. Chapters provide a review of topic-specific literature, as well as clinical vignettes that highlight how to integrate TMS into patient care. Key clinical points summarize the optimal clinical application of TMS for the general mental health provider. The evolving nature of TMS research, such as the ongoing development of this and related technologies, as well as its expanding use as a potential treatment for other clinical neuropsychiatric conditions, is also addressed.
Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice guides the general psychiatrist and mental health clinician on how to integrate this treatment modality into their practice by presenting an update on the current clinical role of TMS and a road map to its potential future.
Richard A. Bermudes, M.D., is the Chief Medical Officer at TMS Health Solutions and is an Assistant Clinical Professor-Volunteer in the Department of Psychiatry at the University of California, San Francisco in San Francisco, California.
Karl I. Lanocha, M.D., is the Director of Education at TMS Health Solutions in San Francisco, California.
Philip G. Janicak, M.D., is an Adjunct Professor in the Department of Psychiatry and Behavioral Sciences at Northwestern University, Feinberg School of Medicine and Director of the Transcranial Magnetic Stimulation Center at Edward/Elmhurst Healthcare in Naperville, Illinois.